| NPI | 1972021954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61448731) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2025-04-28 |