| NPI | 1609801695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4698) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007844) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-11-06 |