| NPI | 1982823605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1354057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011657) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-02-09 |