| NPI | 1912440553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61489164) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 4120) |
| 225100000X Physical Therapist (Licence: VA 2305213385) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-10-13 |