| NPI | 1215387840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025703) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.007454) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2021-11-29 |