| NPI | 1619277514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1282793) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018134) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2022-10-13 |