| NPI | 1851850820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 31086) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.023917) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-09-07 |