| NPI | 1730458993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38872) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.001529) |
| Enumeration Date | 2011-12-17 |
| Last Update Date | 2013-10-05 |