| NPI | 1609299114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-019253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0011952) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2022-07-11 |