| NPI | 1548651383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60548799) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 7763) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2021-03-31 |