| NPI | 1316487457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60728384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014255) |
| 225100000X Physical Therapist (Licence: AK 117153) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2023-11-01 |