| NPI | 1295271716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.023605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1285477) |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2019-12-23 |