| NPI | 1487924031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60332634) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2022-05-17 |