| NPI | 1720488950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60495067) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CT 17180) |
| 225100000X Physical Therapist (Licence: CT 10234) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2018-03-17 |