| NPI | 1760908776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 0700014708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014708) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |