| NPI | 1669682365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2290PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 4097) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-03-09 |