| NPI | 1215774864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61073944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 302928) |
| 225100000X Physical Therapist (Licence: IL 070.025471) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |