| NPI | 1265451538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA pt00007637) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-12-29 |