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 |