| NPI | 1245589928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1356470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014450) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-09-12 |