| NPI | 1235448465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60213178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6330) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2021-07-21 |