| NPI | 1902294515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60610279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42015) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2023-07-10 |