| NPI | 1043303563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00008515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 1760) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-07-07 |