| NPI | 1205376563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024109) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017005149) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2020-05-19 |