| NPI | 1376732552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 30375) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00007796) |
| 225100000X Physical Therapist (Licence: AK 1678) | |
| 225100000X Physical Therapist (Licence: CO 9115) | |
| 225100000X Physical Therapist (Licence: HI 2539) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-06-16 |