| NPI | 1013286848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60225315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14487) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2017-03-15 |