| NPI | 1023524899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT292566) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.021919) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2022-09-02 |