| NPI | 1679861991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038515-1) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2022-07-21 |