| NPI | 1427514629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016661) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60902832) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2024-12-10 |