| NPI | 1760266969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CP031751T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-33184) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-06-18 |