| NPI | 1245480839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60041864) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2009-11-02 |