| NPI | 1619307261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60275990) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2018-06-27 |