| NPI | 1982728697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 06190) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2014-06-15 |