| NPI | 1558611590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 07008354) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.018354) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2018-03-17 |