| NPI | 1851626220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60102172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID pt-2971670) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2025-12-04 |