| NPI | 1215200969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.018896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2012009718) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2017-04-12 |