| NPI | 1477997922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-017340) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2021-11-21 |