| NPI | 1063583318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1271292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007946) |
| 225100000X Physical Therapist (Licence: IL 070.007398) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2018-10-18 |