| NPI | 1811677008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA CP022577T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214265) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |