| NPI | 1366195943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025083) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020004454) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |