| NPI | 1487023792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60592013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013392) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2019-11-26 |