| NPI | 1588210389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61267033) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12357) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-10-04 |