| NPI | 1467674119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-002719) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL JR5057898P) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-11-20 |