| NPI | 1346292703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010583) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4053) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-06-30 |