| NPI | 1861078529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61113717) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-11-15 |