| NPI | 1114467263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61359317) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GU PT133) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-05-03 |