| NPI | 1629404678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT017049) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60664986) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2025-01-22 |