| NPI | 1114394673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0018290) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60576637) |
| 225100000X Physical Therapist (Licence: NY 045469) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2023-03-17 |