| NPI | 1437698974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60861839) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1286521) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-03-15 |