| NPI | 1093201527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070023492) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CT 10233) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-01-05 |