| NPI | 1265556245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1170141) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 70015156) |
| 225100000X Physical Therapist (Licence: NE 2535) | |
| 225100000X Physical Therapist (Licence: MO 2005010782) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-07-29 |