| NPI | 1679668966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 6960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2371) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-12-22 |