| NPI | 1326341967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021876) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.005583) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2021-02-01 |