| NPI | 1609196153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.015151) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 25158) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2025-11-20 |