| NPI | 1770025041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60991100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040558) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2023-06-22 |