| NPI | 1922374602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60360115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034253) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2016-03-01 |