| NPI | 1649489238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011666) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-20 |