| NPI | 1366104994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-8672) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61149102) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2025-04-14 |