| NPI | 1053966267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60970219) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2022-03-29 |