| NPI | 1710024849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009176) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT34041) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-08 |