| NPI | 1265457097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00006332) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 222Q00000X Developmental Therapist | |
| 2251N0400X Physical Therapist Neurology | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-05-14 |