| NPI | 1851953681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-024998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01861100) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2022-02-24 |