| NPI | 1245280494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60690988) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5161) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-01-18 |