| NPI | 1578937660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1227930) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016837) |
| 225100000X Physical Therapist (Licence: IA 004115) | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2021-02-19 |