| NPI | 1114038981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003956) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: WA PT00003956) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-17 |