| NPI | 1194138735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1237177) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.020676) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |