| NPI | 1013462217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60559789) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2025-03-10 |