| NPI | 1689265589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-026353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 046249) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2022-01-21 |