| NPI | 1457805731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60656319) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2018-12-07 |