| NPI | 1417396458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013094) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60390569) |
| 225100000X Physical Therapist (Licence: WI 12348-24) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-02-26 |