| NPI | 1427386465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008286) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11704) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2021-06-24 |