| NPI | 1528480241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.004473) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.015797) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |