| NPI | 1487082848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022988) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: DC PT871502) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2021-04-02 |