| NPI | 1427254903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL7504) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-04-10 |