| NPI | 1184772600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4951) |
| 225100000X Physical Therapist (Licence: WA PT00007233) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-05-09 |