| NPI | 1952146573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT.61564401) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA PTIP.PU.61564402) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-08-16 |