| NPI | 1467171298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00006305) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 3113) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-04-21 |