| NPI | 1578939294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61093419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1265553) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2024-03-28 |