| NPI | 1962021287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15677) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024548) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-02-25 |