| NPI | 1205617479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61627024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40801) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2025-01-22 |