| NPI | 1841716669 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022283)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018148)  | 
| Enumeration Date | 2017-08-15 | 
| Last Update Date | 2025-04-24 |