| NPI | 1245939842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031116) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.026305) |
| 225100000X Physical Therapist (Licence: CT 11926) | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2025-11-03 |