| NPI | 1316305543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60611222) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1227397) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |