| NPI | 1942671581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021958) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 079530) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2022-07-21 |