| NPI | 1467173914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 12280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61345514) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-03-15 |