| NPI | 1174830111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60185600) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2015-10-26 |