| NPI | 1679754170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60383867) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 34048) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2014-09-29 |