| NPI | 1861635575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60222764) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT005366) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2023-02-13 |