| NPI | 1093997025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1235429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016070) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2018-03-08 |