| NPI | 1316386808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60376231) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-11-01 |