| NPI | 1821008129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 1851) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 3954) |
| 225700000X Massage Therapist (Licence: OR 10635) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-09-22 |