| NPI | 1396987160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60883303) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 100740) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2021-01-28 |