| 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 |