| NPI | 1730571795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60512679) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000008998) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-02-28 |