| NPI | 1992289821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015041A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.024000) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2023-05-22 |