| NPI | 1578198206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT.PT.61604160) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2026-03-31 |