| NPI | 1376851329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60706604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.018035) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2017-04-11 |