| NPI | 1033756747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-17280) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016558) |
| 225100000X Physical Therapist (Licence: WA PT61000015) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-18 |