| NPI | 1548590292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00003289) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2020-08-06 |