| NPI | 1073981775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60594353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT 4049) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2021-11-12 |