| NPI | 1366428674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3921) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2012-11-09 |