| NPI | 1699571059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0020285) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA CPO42106T) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-26 |