| NPI | 1790816429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070007779) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070007779) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-04-26 |