| NPI | 1316483795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60749864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1105473) |
| 225100000X Physical Therapist (Licence: MO 2016031375) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2019-10-28 |