| NPI | 1073548798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009988) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00009988) |
| 225100000X Physical Therapist (Licence: CA 21016) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-06-21 |