| NPI | 1144922006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61420825) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1360775) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-04-12 |