| NPI | 1861074585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61059129) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 004684T) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |