| NPI | 1760573455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2289) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 7363) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |