| NPI | 1700931599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1362991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60649005) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-10-12 |