| NPI | 1669456067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005638) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT17200) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2014-09-12 |