| NPI | 1336901487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61447345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 27137) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-07-24 |