| NPI | 1083965610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60216897) |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2017-03-31 |