| NPI | 1881230332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60997995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 305478) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-07-23 |