| NPI | 1821951609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP051462T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT70044047) |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-12 |