| NPI | 1013365543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT299630) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022649) |
| 225100000X Physical Therapist (Licence: MO 2018022196) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-02-23 |