| NPI | 1255763090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160006412) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 160.006412) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2024-10-17 |