| NPI | 1457640799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60165985) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2012-08-30 |