| NPI | 1518028547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 24707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-011690) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-06-20 |