| NPI | 1275032393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60864481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5420) |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2020-10-14 |