| 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 |