| NPI | 1487873782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-1236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1281) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2009-07-27 |