| NPI | 1497721377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60245422) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 2001) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2014-11-21 |