| NPI | 1023405321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021176) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018169) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |