| NPI | 1427098953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1169039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 70014888) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-02-08 |