| NPI | 1154531739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1303690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014746) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-01-18 |