| NPI | 1366568917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008134) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018137) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-05-04 |