| NPI | 1821322827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1235452) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017431) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2013-09-04 |