| NPI | 1578760146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00002309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 10354) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-08-03 |