| NPI | 1689191504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60733001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60733001) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-08-17 |