| NPI | 1154009249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CPO22447T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO CP025043T) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-09-21 |