| NPI | 1245316843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT28067) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011646) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-02-28 |