| 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 | 2017-08-18 |