| NPI | 1356632871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60211658) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: WA PT 60211658) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |