| NPI | 1033414362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA pt00010035) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA di00001819) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |