| NPI | 1013188515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60813965) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070016245) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2018-05-07 |