| NPI | 1487983532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60124596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 7535059-2401) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2012-09-27 |