| NPI | 1649446303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5479) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00006396) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2015-11-10 |