| NPI | 1609524461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61386162) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT015426) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 300703) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-10-10 |