| NPI | 1740756923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60923983) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-03-12 |