| NPI | 1255671087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8092) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60329205) |
| 225100000X Physical Therapist (Licence: TX 1228243) | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2016-07-27 |