| NPI | 1164874244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22921) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-04-14 |