| NPI | 1174234074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61513856) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: P17682) |
| 225100000X Physical Therapist (Licence: NC P17685) | |
| 225100000X Physical Therapist (Licence: WA CP017064T) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT61513856) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-06-21 |