| NPI | 1689655078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15734) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009822) |
| 225100000X Physical Therapist (Licence: CA PT 43014) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2024-09-16 |