| NPI | 1497123830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60561511) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2023-03-15 |