| NPI | 1053365569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009698) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 26491) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-11-24 |