| NPI | 1801524905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61351635) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1365843) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-01-10 |