| NPI | 1740676469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9222) |
| 225100000X Physical Therapist (Licence: WA PT60506047) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2025-02-07 |