| NPI | 1447476171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009417) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT25472) |
| 225100000X Physical Therapist (Licence: ID PT-2194) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |