| NPI | 1356626105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60157230) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018930) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2022-01-10 |