| NPI | 1700120516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1223501) |
| 225100000X Physical Therapist (Licence: AR 3489) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |