| NPI | 1033377155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1878) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007686) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2008-05-26 |