| NPI | 1467861906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1245151) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020440) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2025-06-27 |