| NPI | 1083839336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61439047) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 22353) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-12-05 |