| NPI | 1306473269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033721) |
| 225100000X Physical Therapist (Licence: TX 1303463) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-09-04 |