| NPI | 1841283777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008508) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1231463) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-01-23 |