| NPI | 1346381126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00010270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT0010270) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-08-01 |