| NPI | 1619783800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070029040) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-04-11 |