| NPI | 1053584565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 25239) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011299) |
| 225100000X Physical Therapist (Licence: NY 62021171) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-04-04 |