| NPI | 1851023022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61582663) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 196918) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-10-01 |