| NPI | 1356229116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.026388) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.026388) |
| 2251S0007X Physical Therapist, Sports (Licence: IL 070.026388) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.026388) | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |