| NPI | 1568989523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA PT60511940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60511940) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-05-16 |