| NPI | 1275955924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60475605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12572-24) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2018-07-15 |