| NPI | 1750798336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60324310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 9057) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |