| NPI | 1205875945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT2896) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-10-21 |