NPI | 1790863207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009183) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4940) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2013-08-27 |