| NPI | 1972717932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5392) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-10-08 |