| NPI | 1003092149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA OT 00002799) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: CA 2877) |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2015-07-13 |