| NPI | 1346480852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 8342) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: WA 8342) |
| 2251N0400X Physical Therapist, Neurology (Licence: WA 8342) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA 8342) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2010-12-17 |