| NPI | 1689683484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6262) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010178) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-12-18 |