| NPI | 1407364425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60932673) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-30539) |
| 225100000X Physical Therapist (Licence: FL PT33186) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2021-06-10 |