| NPI | 1689836983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60290443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22582) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-07-16 |