| NPI | 1447684402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60547571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 40366) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2015-04-23 |