| NPI | 1245365857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00005711) |
| 225100000X Physical Therapist (Licence: HI 1630) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-04-20 |