| NPI | 1770029803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60682298) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014259) |
| 225100000X Physical Therapist (Licence: WA 60682298) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2022-11-03 |