| NPI | 1295615201 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 13080) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.029459) | 
| Enumeration Date | 2025-09-03 | 
| Last Update Date | 2025-09-08 |