| NPI | 1518925510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4889) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 10076) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2010-04-13 |