| NPI | 1700292901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1281503) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-018202) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-06-11 |