| NPI | 1861745598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 9646) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |