NPI | 1831368687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00009651) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4259) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2013-01-03 |