| NPI | 1043375462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT10435) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5310) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2017-03-18 |