| NPI | 1750617023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 3397) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4825) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2019-05-18 |