| NPI | 1922732809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070023561) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041321) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |