| NPI | 1831644509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT5560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60658886) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2023-01-12 |