| NPI | 1982765236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00007744) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3727) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |