| NPI | 1922195916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 5456) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC2691) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-03-25 |