| NPI | 1063624617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 6316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2867) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-11-21 |