| NPI | 1346439536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010659) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 10659) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2016-02-02 |