| NPI | 1831580026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1300320) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070021311) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2021-07-20 |