| NPI | 1457692964 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014419)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019478)  | 
| Enumeration Date | 2013-03-07 | 
| Last Update Date | 2022-01-05 |