| NPI | 1134102981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60074918) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 3023) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2010-04-28 |