| NPI | 1982328746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2019042348) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023743) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-03-19 |