| NPI | 1144875915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61091020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296982) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-10-07 |