| NPI | 1578930921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070022739) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1261500) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2022-07-21 |