| NPI | 1376855015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60525569) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-017808) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2019-10-17 |