| NPI | 1194758995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60001306) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-04-08 |