| NPI | 1174098990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60869567) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60869567) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2022-01-07 |