| NPI | 1114973187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60214303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008486) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-04-13 |