| NPI | 1821516576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13941-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60831589) |
| 225100000X Physical Therapist (Licence: OR 62655) | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2020-10-13 |