| NPI | 1245967447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070026764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 048573) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-08-07 |