| NPI | 1891240479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024228) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22629) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-06-05 |