| NPI | 1780783514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008875) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |