| NPI | 1467550822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT3603) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010021) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-07-28 |