| NPI | 1396210530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60860927) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2023-11-01 |