| NPI | 1750493565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: WA PT00003187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00003187) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-01-22 |