| NPI | 1841606167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60441572) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3708) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-03-14 |