| NPI | 1558677211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1197670) |
| 225100000X Physical Therapist (Licence: SC 6553) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2013-10-01 |