| NPI | 1164809539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022768) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32345) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2017-04-07 |