| NPI | 1285972331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI CPO43669T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019228) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2025-08-21 |