| NPI | 1174361901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO CP036910T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61590619) |
| 225100000X Physical Therapist (Licence: WI 1683024) | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-12-01 |