| NPI | 1689081564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14976-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60477253) |
| 225100000X Physical Therapist (Licence: WA PU60477263) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2023-06-07 |