| NPI | 1427690015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61088902) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016676) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2021-02-02 |