| NPI | 1558619460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019392) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2023-12-05 |