| NPI | 1538885462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2025037478) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070026944) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2026-01-07 |