| NPI | 1437860004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT61064243) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-03-20 |