| NPI | 1477162832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41854) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61075132) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2024-11-15 |