| NPI | 1477800613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60798019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0351091) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2018-02-27 |