| NPI | 1720499791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018980) |
| 225100000X Physical Therapist (Licence: WA PT60450406) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |