| NPI | 1932163094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.018742) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017160) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-03-11 |