| NPI | 1730540790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 362167060) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160004543) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |