| NPI | 1609146216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24213) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60255109) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-11-14 |