| NPI | 1295358828 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.026605)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298388)  | 
| Enumeration Date | 2020-05-18 | 
| Last Update Date | 2022-10-16 |