| NPI | 1336546092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60729955) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15174) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2017-04-03 |