| NPI | 1568644722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pt00008739) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2012-05-07 |