| NPI | 1588624514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011762) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03058) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-01-25 |