| NPI | 1659041804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NC P23393) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070022916) |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2026-03-10 |