| NPI | 1437246923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA WA7134) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 7134) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-10-07 |