NPI | 1801210323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60447914) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60473) |
Enumeration Date | 2014-02-05 |
Last Update Date | 2014-07-30 |