| NPI | 1699912295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60272758) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6214) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2020-08-21 |