| NPI | 1891029534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 64072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015897) |
| 225100000X Physical Therapist (Licence: TX 1235920) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2025-01-30 |