| NPI | 1285054205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1322940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070020193) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-01-28 |