| NPI | 1093900185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL0012825) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: CO PTL0012825) |
| 225700000X Massage Therapist (Licence: WA MA00024201) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-04-14 |