| NPI | 1386022127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60565639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61010) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-12-18 |