| NPI | 1497340624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.025709) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1335386) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-09-22 |