| NPI | 1235515230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61429052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871825) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-01-20 |