| NPI | 1063798726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60013093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 06202) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2018-04-26 |