| NPI | 1588182570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60860580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13177) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-07-23 |