| NPI | 1336322791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010749) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2012-08-14 |