| NPI | 1194843557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 8021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2257) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-02-03 |