| NPI | 1790091361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-018062) |
| 225100000X Physical Therapist (Licence: MA 19780) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2025-11-04 |