| NPI | 1528377637 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60275399)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.015542)  | 
| Enumeration Date | 2010-10-07 | 
| Last Update Date | 2025-06-25 |