| NPI | 1780102764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-15223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60774080) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-09-18 |