| NPI | 1124378922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA 6909) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 3038) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |