| NPI | 1376890087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA PT42248) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: IL 070017942) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2018-08-16 |