| NPI | 1093185514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019003) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2015-09-26 |