| NPI | 1720622400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-026568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 297517) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2022-05-19 |