| NPI | 1447813654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61651084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 296272) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-05-13 |