| NPI | 1699020990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1215548) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.018423) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |