| NPI | 1710571773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61209757) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT299737) |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2022-05-27 |