| 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 |