| NPI | 1467094243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61472699) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60346814) |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2023-09-05 |