| NPI | 1265891451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-012491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 6004-24) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |