| NPI | 1952885725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60917098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62895) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2020-06-22 |