| NPI | 1144723297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT303110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026893) |
| 225100000X Physical Therapist (Licence: IL 070.022745) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2023-02-28 |