| NPI | 1518296292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8659) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60888704) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2020-10-29 |