| NPI | 1376300079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61526686) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP051260T) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2026-08-24 |