| NPI | 1851321608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007850) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05001898) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |