| NPI | 1023203817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT650) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00006075) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |