NPI | 1114965753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 04094) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60055979) |
225100000X Physical Therapist (Licence: CA 23662) | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2014-08-04 |