NPI | 1952562878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60446650) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5676) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2015-11-06 |