| NPI | 1083183438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61257175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1312924) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-06-05 |