| NPI | 1528498425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60384816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61518) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2018-10-30 |