| NPI | 1932254414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014259) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 070014259) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-08-31 |