| NPI | 1942647375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA pt60954901) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2020-05-14 |