| NPI | 1790239812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32522) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60668046) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2020-05-13 |