| NPI | 1598928665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60019517) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036203) |
| 225100000X Physical Therapist (Licence: CA 36726) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2015-08-26 |