| NPI | 1336364850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6941) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9053) |
| 225100000X Physical Therapist (Licence: WA PT 60058447) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-04-08 |