| NPI | 1932400314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008752) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT0008752) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2021-11-19 |