| NPI | 1467706598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017535) |
| 225100000X Physical Therapist (Licence: NY 034160) | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2020-05-07 |