| NPI | 1760761084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009224) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60546) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-11-17 |