| NPI | 1093377236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61228011) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014083) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-10-27 |