| NPI | 1114158235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009703) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60974827) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2020-11-05 |