| NPI | 1639279599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60068485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT32472) |
| 225100000X Physical Therapist (Licence: NV 1497) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-03-14 |