| NPI | 1952342396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT1998) |
| 225100000X Physical Therapist (Licence: NY 034086) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-12-20 |