| NPI | 1861704066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-017831) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2026-09-16 |