| NPI | 1609106277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-12296) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60122864) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2018-11-05 |