| NPI | 1053014100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1401418) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070027104) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-12-05 |