| NPI | 1114581204 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: IL 070024113)  | 
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NE 1590)  | 
| Enumeration Date | 2019-04-24 | 
| Last Update Date | 2019-04-24 |