| NPI | 1992242390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020456) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1223768) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |