| NPI | 1548216526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1172833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011849) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-02-11 |