| NPI | 1063872612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42729) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.019297) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |