| NPI | 1275816977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0012144) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60218862) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2015-12-29 |