| NPI | 1821407016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.023241) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2024-02-08 |