| NPI | 1326598822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: IL 070023361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22594) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2017-10-20 |