| NPI | 1962153445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020937) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 086406) |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-01-16 |