| NPI | 1225221153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 1446) |
| 225100000X Physical Therapist (Licence: OR 4097) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-11-09 |