| NPI | 1710057757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4686) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-05-05 |