| NPI | 1841502598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16046) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60167348) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2016-09-12 |