| NPI | 1366835324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.020928) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070.020928) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2019-02-17 |