| NPI | 1831395490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1340) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008826) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-04-16 |