| NPI | 1134374317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60665173) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2025-03-17 |