| NPI | 1992041347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1260820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 07019668) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2018-08-29 |