| NPI | 1245501220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60592722) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 38622) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2022-07-19 |