| NPI | 1487741369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501010476) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-07-13 |