| NPI | 1275227985 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26042) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070025812) | 
| Enumeration Date | 2023-06-06 | 
| Last Update Date | 2023-06-06 |