| NPI | 1942786512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60838696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60838696) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2025-06-10 |