| NPI | 1467090266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60970366) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |