NPI | 1588743108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003666) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00003666) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2011-04-14 |