| NPI | 1740990845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008646) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.023242) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |