| NPI | 1508256694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2529) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60086514) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |