| NPI | 1083867964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8909) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 9239) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2012-04-24 |