| NPI | 1093181364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60662111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30121) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-08-15 |