| NPI | 1093241259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 041482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60657120) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2019-06-26 |