| NPI | 1023483872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60741591) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT43035) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2022-07-21 |