| NPI | 1326438524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60503873) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL IL/070.020917) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2016-12-12 |