| NPI | 1659619286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60687449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 9509) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2016-09-15 |