| NPI | 1306843933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60058054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 2054) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-11-02 |