| NPI | 1194563122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61634916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1367012) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-12-03 |