| NPI | 1629160387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11926-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60363536) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-03-03 |