| NPI | 1982488847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: 070-027750) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.027750) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-10-16 |