| NPI | 1699776005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3887) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 4809) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-05-02 |