| NPI | 1225427875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60785949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024037) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2024-01-30 |