| NPI | 1952624421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60130841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6168) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2021-04-14 |