| NPI | 1235373242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60567528) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031169-1) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2019-09-13 |