| NPI | 1881967768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60346329) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT38793) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-03-19 |