| NPI | 1689380560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 049983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.026752) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-26 |