| NPI | 1174830491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1216613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60135208) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2024-07-15 |