| NPI | 1699373902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302162) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.025615) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2022-07-12 |