| NPI | 1558635169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.017104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 25255) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |