| NPI | 1912120767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70014093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16910) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-10-14 |