| NPI | 1538359773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007973) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010592) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2021-04-02 |