| NPI | 1639714892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070026558) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2019030139) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2025-01-31 |