| NPI | 1699703447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 8983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9896) |
| 225100000X Physical Therapist (Licence: CA 38722) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2017-09-08 |