| NPI | 1073648366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305202676) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WA PT00008746) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2019-03-04 |