| NPI | 1750188587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP049630T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61664569) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-10-07 |