| NPI | 1508393133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 299847) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60747668) |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2021-11-22 |