| NPI | 1336673029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00005809) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60490814) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2018-11-20 |