| NPI | 1134304413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60170956) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013567) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2023-11-22 |