| NPI | 1306278106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60393310) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60393310) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2019-01-02 |