| NPI | 1225268493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60427782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6032) |
| 225100000X Physical Therapist (Licence: OR 06032) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2014-02-10 |