| NPI | 1174506802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007880) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT7880) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2022-10-14 |