| NPI | 1457440331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4070) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008265) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-15 |