| NPI | 1184854697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2241PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60780710) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2023-06-06 |