| NPI | 1417396474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60282956) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60160) |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2013-06-22 |