| NPI | 1942619226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60476261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015485A) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2024-06-03 |