| NPI | 1306172648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60563110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070017475) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2016-02-18 |