| NPI | 1538538392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60778740) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 43009) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2022-07-21 |