| NPI | 1871537811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005604) |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand (Licence: WA PT00005604) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-03-14 |