| NPI | 1518295138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021774) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 29956) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2015-10-13 |