| NPI | 1740335843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60464065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 117022) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-01-20 |