| NPI | 1467269746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61629206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC CP052098T) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2026-04-20 |