| NPI | 1346544772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00008199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5856) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2018-10-10 |