| NPI | 1093811887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005984) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pt00005363) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-04-14 |