| NPI | 1740645910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 13009505-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.021941) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-01-08 |