| NPI | 1659901528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: WA PT60970629) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60970629) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2022-08-22 |