| NPI | 1932532173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4332) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60384442) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2017-04-13 |