| NPI | 1750971040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299549) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023936) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-02-11 |