| NPI | 1093148264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1378607) |
| 225100000X Physical Therapist (Licence: NY 050563) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2023-08-01 |