| NPI | 1659183291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61656536) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 30165) |
| 225100000X Physical Therapist (Licence: WA CP039790T) | |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-27 |