| NPI | 1740933035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0018610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61208920) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-10-23 |