| NPI | 1861919268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60761927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60761927) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-04-12 |