| NPI | 1649663428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-7782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00010347) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2024-02-05 |