| NPI | 1255771077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60447519) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2016-12-09 |