| NPI | 1588095004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60400957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60400957) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2021-06-23 |