| NPI | 1174075642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021828) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1251816) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2019-06-04 |