| NPI | 1598318198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60966801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-6462) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-11-29 |