| NPI | 1245321603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60146438) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22571) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-05-20 |