| NPI | 1477654648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 11110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00002011) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-03-17 |