| NPI | 1255879441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60717255) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 3774) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |