| NPI | 1295168532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60359917) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2018-11-13 |