| NPI | 1659509727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60231770) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT38739) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-09-29 |