| NPI | 1295160695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60807544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 8624015-2401) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2023-07-30 |