| NPI | 1104375245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 081881) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |