| NPI | 1134774573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61593897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63343) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-08-28 |