| NPI | 1508929720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-011439) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21347) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-10-20 |