| NPI | 1235432642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60193045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 34117) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2022-06-16 |