| NPI | 1568916468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60932482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291722) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-03-24 |