| NPI | 1437627825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60799026) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62419) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |