| NPI | 1942617188 |
|---|---|
| Former Name | KIERAN MCKINNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60480124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-9425) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-04-25 |