| NPI | 1659771988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15682) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2016-08-16 |