| NPI | 1770937609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.022508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294817) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-04-22 |