| NPI | 1467694497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60012166) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10925-024) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-08-08 |