| NPI | 1902000151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 5374) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |