| NPI | 1689825960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21929) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60041958) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |