| NPI | 1467059881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CP003443T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 118875692401) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2024-09-30 |