| NPI | 1205845880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT2448) |
| 225100000X Physical Therapist (Licence: NY 024551) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |