| NPI | 1083043459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60419471) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2015-07-13 |