| NPI | 1376653238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010189) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 06313) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-12-16 |