| NPI | 1497486724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61634788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 38862) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-12-18 |