| NPI | 1629762299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.029295) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0019163) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-09-15 |