| NPI | 1538223037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-15006) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010269) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-04-22 |