| NPI | 1306167861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60501307) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT36542) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-08-23 |