| NPI | 1164508990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-007203) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 2760-024) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-03-17 |