| NPI | 1750415774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009864) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA PT00009864) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-05-08 |