| NPI | 1700125903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.022692) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2013004045) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2022-10-13 |