| NPI | 1508395443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4543) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60752723) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2021-11-10 |