| NPI | 1073038741 |
|---|---|
| Former Name | NOEMI LIEZL SAMBAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61464275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013040) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-09-18 |