| NPI | 1437552163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60477690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7562) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2015-10-08 |