| NPI | 1396154639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.020759) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014027156) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-04-01 |