| NPI | 1821753914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070026329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT7489) |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-11-18 |