| NPI | 1871858266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60176785) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: OR 06813) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |