| NPI | 1841278769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009609) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4072) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-12-17 |