| NPI | 1033457601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3630) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |