| NPI | 1992996813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: WA PT00006286) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: WA PT00006286) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |