| NPI | 1316216088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60024848) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029123) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |