| NPI | 1306324132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.023708) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2022-10-25 |