| NPI | 1215905278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 70010260) |
| 225100000X Physical Therapist (Licence: CO PTL-6970) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2013-07-09 |