| NPI | 1720276322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 05927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60110238) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-09-10 |