| NPI | 1376678342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003418) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: WA PT00003418) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-05-13 |