| NPI | 1609990423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1171948) |
| 225100000X Physical Therapist (Licence: IL 070016345) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-10-03 |