| NPI | 1033440409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60637798) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032782-1) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2021-06-17 |