| NPI | 1891291910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60903963) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62610) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-11-14 |