| NPI | 1063740967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 24744) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60061386) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |