| NPI | 1033287057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 7148) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-01-29 |