| NPI | 1750697363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60273) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60163947) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2018-09-13 |