| NPI | 1184991333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60569) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60243151) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2024-03-04 |