| NPI | 1649735291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60963439) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME 5298) |
| 225100000X Physical Therapist (Licence: NY 04393) | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-05-24 |