| NPI | 1134223167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002557) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: WA PT00002557) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-17 |