| NPI | 1831310747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60210062) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PT9329) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-07-13 |