| NPI | 1285153080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024140) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 17400) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2019-01-08 |