| NPI | 1306011903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61436358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1136968) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-11-07 |