| NPI | 1528633146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0019728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61196729) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-01-30 |