| NPI | 1790924603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017730) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008492) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2021-07-21 |