| NPI | 1861596389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT9584) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-10-29 |