| NPI | 1437642667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60900962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23515) |
| 225100000X Physical Therapist (Licence: OR 63018) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-03-01 |