| NPI | 1427040161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1607) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2008-05-30 |