| NPI | 1164678504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-3198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pt60035296) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2012-11-21 |