| NPI | 1386922482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60782895) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA TX60790965) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2018-03-17 |