| NPI | 1356858922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60827746) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018947) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-03-12 |