| NPI | 1699870279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8080) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010222) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-08-16 |