| NPI | 1669775599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1142842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017212) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2013-12-12 |