| NPI | 1750933099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61384627) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9681) |
| 225100000X Physical Therapist (Licence: PA 027796) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-01-13 |