| NPI | 1104244045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60626890) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41110) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2022-01-10 |