| NPI | 1992918718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019936L) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |