| NPI | 1730735440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60991915) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60991915) |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2023-03-03 |