| NPI | 1598266264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60830888) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1289460) |
| 225100000X Physical Therapist (Licence: OR 62488) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |