| NPI | 1598850026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PT10788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA pt00010250) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-02 |