| NPI | 1952900201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60963363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60963363) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2021-05-03 |