| NPI | 1265583793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36441) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009862) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-09-14 |