| NPI | 1508171687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0118377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60166585) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2018-05-23 |