| NPI | 1366179459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61470065) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT016082) |
| 225100000X Physical Therapist (Licence: SC CP034804T) | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-10-14 |