| NPI | 1942714233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60747009) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2019-10-28 |