| NPI | 1174548465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60202616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT6752) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-09-26 |