| NPI | 1326593542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4956) |
| 225100000X Physical Therapist (Licence: TX 1280100) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-06-23 |