| NPI | 1972763712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019102) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38719) |
| 225100000X Physical Therapist (Licence: FL PT23963) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-07-21 |