| NPI | 1255788469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60737919) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT291190) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-09-22 |