| NPI | 1750340337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 7571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2500) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2009-10-13 |