| NPI | 1760830988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: HI 4265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60645176) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2024-01-23 |