| NPI | 1245885938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60961276) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24447) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2024-04-12 |