| NPI | 1265498240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1203115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009349) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2011-03-08 |