| NPI | 1235450289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT1693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008873) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-15 |