| NPI | 1841546660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60822890) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 12682) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-03-09 |