| NPI | 1578076436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.023088) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: IL 070.023088) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2021-08-30 |