| NPI | 1194305169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31691) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA CP018894T) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-07-02 |