| NPI | 1023306727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60549610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26617) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2015-06-02 |