| NPI | 1699134106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022946) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038002) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2018-03-26 |