| NPI | 1538285515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60261724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01223600) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-06-18 |