| NPI | 1053668384 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-019210) | 
| Enumeration Date | 2012-08-06 | 
| Last Update Date | 2016-06-29 |