| NPI | 1992004964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61070910) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60192652) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2020-11-10 |