| NPI | 1114248937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00010272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 24464) |
| 225100000X Physical Therapist (Licence: CA PT 34012) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |