| NPI | 1861887978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60555408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006564) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-12-17 |