| NPI | 1811409527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61007869) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26647) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-06-05 |