| NPI | 1316781008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61526036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP035210T) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-10-04 |