| NPI | 1770936320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA P1 60033939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 07481) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-25 |