| NPI | 1992083927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00009414) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3303) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-02-15 |