| NPI | 1720416274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 28548) |
| 225100000X Physical Therapist (Licence: NY 047345) | |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2023-08-15 |