| NPI | 1588097646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60367310) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: WA PT60367310) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-08-21 |