| NPI | 1942441035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008174) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 1908) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |