| NPI | 1043455439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60553114) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA60014268w) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2021-04-23 |