| NPI | 1194250555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61288020) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13113) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-02-22 |