| NPI | 1386629343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029888-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009531) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2008-01-23 |