NPI | 1316200959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00000523) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT00000523) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |