| NPI | 1851972830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61170110) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-11-24 |