| NPI | 1386079598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60397904) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 60189) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60397904) | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2022-02-11 |