| NPI | 1023243722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60042194) |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2009-06-10 |