| NPI | 1275843211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 7900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4846) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |