| NPI | 1326596768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60670855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60670855) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2019-12-31 |