| NPI | 1326362021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60137020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5196) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |