| NPI | 1518370014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60440413) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 30646) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-04-27 |