| NPI | 1487883260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60103490) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PU60103492) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2017-08-03 |