| NPI | 1447411491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60219395) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017956) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-07-21 |