| NPI | 1891276994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: WA PT60883314) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2024-04-25 |