| NPI | 1871659979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 14188606-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-006431) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2025-11-26 |