| NPI | 1194770982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1170613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-014104) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-05-30 |