| NPI | 1093925281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005392) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 02238) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |