| NPI | 1609070408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.013646) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.013646) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2025-09-11 |