| NPI | 1447597323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60293643) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031422) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-10-25 |