| NPI | 1669549895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60499274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 1876) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-04-27 |