| NPI | 1881920403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7362653-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60117603) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2021-01-28 |