| NPI | 1720394174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 2265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00010795) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-10-20 |