| NPI | 1386184000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5132) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60656073) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2021-03-15 |