| NPI | 1871227744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.026650) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302364) |
| 225100000X Physical Therapist (Licence: OR 65106) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2024-04-29 |