| NPI | 1033227632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pt00006867) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |