| NPI | 1942644992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60329927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 27518) |
| 225100000X Physical Therapist (Licence: TX 1221147) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |