| NPI | 1356753479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60479991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208646) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-09-08 |