| NPI | 1659954360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025819) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 070.025819) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-05-17 |