| NPI | 1588252829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61497515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 4403) |
| 225100000X Physical Therapist (Licence: CA 299255) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-03-11 |