| NPI | 1417245341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60225050) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24829) |
| 225100000X Physical Therapist (Licence: TX 1203608) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |