| NPI | 1932353281 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT38367) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016797) | 
| Enumeration Date | 2008-11-13 | 
| Last Update Date | 2021-11-29 |