| NPI | 1114432374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60822028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019498) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-04-05 |