| NPI | 1013972553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00005064) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-03-18 |