| NPI | 1104250224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-020309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036528-1) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2019-01-09 |