| NPI | 1396003422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 10599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 19170) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |