| NPI | 1811322845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13273) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070020112) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: IL 070020112) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2016-01-12 |