| NPI | 1487815262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2149) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |