| NPI | 1174578264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 8236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010049) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-11-02 |