| NPI | 1316377575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60539770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036944-1) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2015-04-07 |