| NPI | 1699132050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60688010) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 43610) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2019-09-27 |