| NPI | 1093852956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 025208PT00005855) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-02-14 |