| NPI | 1639778137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0019241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61052952) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2025-01-30 |