| NPI | 1285182717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022235) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20705) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |