| NPI | 1417956061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: WA PT00006788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00006788) |
| Enumeration Date | 2005-07-16 |
| Last Update Date | 2015-02-21 |