| NPI | 1720401557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021389) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 20140004333) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2016-09-22 |