| NPI | 1932305976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT1865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT0005055) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-10-17 |