| NPI | 1144913039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60528795) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 1801851258) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |