| NPI | 1568132173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61431802) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20665) |
| 225100000X Physical Therapist (Licence: CO CP014892T) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-06-19 |