| NPI | 1205022589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010689) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-12-06 |