| NPI | 1922468883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1282719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014785) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-09-14 |