| NPI | 1588135131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 4782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60914082) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2021-09-17 |