| NPI | 1407283054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60572607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10227) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2021-12-08 |