| NPI | 1255826913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16446-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.023900) |
| 225100000X Physical Therapist (Licence: CA 298503) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-10-07 |