| NPI | 1194240242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61180626) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211383) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-09-29 |