| NPI | 1043541832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60117609) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60989) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2015-06-08 |